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Lisa Gray , LPC

Counselor β€’ Port Huron, MI

Active NPI 1205242161 Individual Practitioner Female Practitioner
Practice location in NPPES

2885 W Rick Dr
Port Huron, MI 48060

Call 8103008404 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2885 W Rick Dr

Port Huron, MI 48060

Telephone 8103008404
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Grosse Pointe, MI; Port Huron, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Huron and Michigan

32 active clinicians are listed under Counselor with a practice address in Port Huron, MI (2,519 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

0% of these 32 clinicians have the CMS telehealth indicator.

3.1% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MI 6401014338

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

805 Superior St, Suite A

Port Huron, MI 480603771

Phone: 8109661972

830 Saint Clair St Apt E

Grosse Pointe, MI 482302112

Phone: 8103008404

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 28, 2018

Registered at 2885 W RICK DR, PORT HURON, MI 48060 (Tel: 8103008404)

πŸ“
Updated Business Mailing Address June 28, 2018

Registered at 2885 W RICK DR, PORT HURON, MI 480606532 (Tel: 8103008404)

πŸ‘€
Provider Name / Credentials Updated June 28, 2018

Recorded as LISA GRAY, LPC

βœ…
NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 10, 2014

Registered at 805 SUPERIOR ST, SUITE A, PORT HURON, MI 480603771 (Tel: 8109661972)

πŸ“
Business Mailing Address (Initial Record) July 10, 2014

Registered at 805 SUPERIOR ST, SUITE A, PORT HURON, MI 480603771 (Tel: 8109661972)

πŸ‘€
Provider Name / Credentials (Initial Record) July 10, 2014

Recorded as LISA GRAY, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Counselor (license number reported to NPPES: MI 6401014338)

🟒
Initial NPI Registration & Enumeration July 10, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205242161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2014
Last Update: July 18, 2018
Sole Proprietor: No

Mailing Address

2885 W Rick Dr

Port Huron, MI 480606532

Phone: 8103008404

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.